Validation of the Activity Preference Assessment: a tool for quantifying children’s implicit preferences for sedentary and physical activities

International Journal of Behavioral Nutrition and Physical Activity

Kori B. Murray¹  Steven B. Heymsfield¹  Owen T. Carmichael¹  Corby K. Martin¹  Neil M. Johannsen¹  S. Nicole Fearnbach¹  Daniel S. Hsia¹  Sreekrishna Ramakrishnapillai¹  Alex C. Garn²  Amanda E. Staiano³  Robert L. Newton³  Graham Finlayson⁴  John E. Blundell⁴ 

[1] Clinical Sciences Division, Pennington Biomedical Research Center;Louisiana State University;Population and Public Health Sciences Division, Pennington Biomedical Research Center;University of Leeds;

关键词: Decision-making;    Sedentary behavior;    Obesity;    Fitness;    Pediatrics;   

DOI  :  10.1186/s12966-020-01014-6

来源: DOAJ

【 摘 要 】

Abstract Background High levels of sedentary behavior and low physical activity are associated with poor health, and the cognitive determinants of these behaviors in children and adolescents are not well understood. To address this gap, we developed a novel, non-verbal, computer-based assessment to quantify the degree to which youth prefer to be sedentary relative to physically active in their leisure time. Methods The Activity Preference Assessment (APA) uses a forced-choice paradigm to understand implicit decision-making processes when presented with common sedentary and physical activities. The APA bias score ranges from − 100 to + 100, with positive scores indicating a relative preference for sedentary activities, and negative scores representing a preference for physical activities. In 60 children ages 8–17 years, we assessed the validity of this behavioral task against a free-choice play observation, accelerometry-measured activity, anthropometrics and body composition, and cardiorespiratory fitness. We explored neighborhood, family, and individual-level factors that may influence implicit activity preferences. Test-retest reliability was assessed over one week. Results The majority of children (67%) preferred sedentary relative to physical activities. APA bias scores were positively associated with sedentary time during free-choice play. In girls, bias scores were negatively associated with average daily MVPA. APA bias scores were positively associated with body fat and negatively associated with cardiorespiratory fitness. These findings were independent of age, sex, and race/ethnicity. Neighborhood access to physical activity spaces, the number of people in the home, perceived physical self-competence (e.g., coordination, strength), and self-reported depressive symptoms were associated with activity preferences. The intra-class correlation for test-retest reliability was r = 0.59. Conclusions The APA shows promise as a novel tool for quantifying children’s relative preference for sedentary versus physical activities. Implicit bias scores from the APA are clinically meaningful, as shown by significant associations with adiposity and cardiorespiratory fitness. Future longitudinal studies should examine the directionality of the association between preferences and health markers, and the degree to which implicit activity preferences are modifiable. Importantly, the task only takes an average of 10 min to complete, highlighting a potential role as an efficient screening tool for the propensity to be sedentary versus physically active. Trial registration ClinicalTrials.gov NCT03624582 .

【 授权许可】

Unknown